逆口腔输管用于大面骨折患者的全身麻醉
Xiaorong Tang1, Lili Ding1, Yitao Li2
1Department of Dentistry, Nantong First People's Hospital, Nantong, 226001, Jiangsu, China.
BMC oral health
|July 15, 2024
概括
在面骨折患者的全身麻醉中,逆口腔输管是可行的. 逆口腔空间容纳内管 (ETT),帮助专注于闭塞修复的手术.
科学领域:
- 口腔和牙面部外科手术
- 麻醉学 麻醉学
- 放射学 放射学是一门学科.
背景情况:
- 面骨折通常需要全身麻醉.
- 在这些患者中,气道管理可能具有挑战性.
- 逆口腔输液管作为一种潜在的呼吸道管理技术正在被探索.
研究的目的:
- 为了评估背腔空间适合安置内管 (ETT) 在面骨折的患者.
- 为了确定逆口面积尺寸是否适合标准ETT尺寸.
- 评估在需要大间固定的手术中进行逆口腔输管的潜力.
主要方法:
- 对54名面骨折患者的回顾性分析.
- 冠状动脉CT扫描被用于测量背额膜区域尺寸.
- 测量结果与患者的人口统计学,骨折类型和第三骨的存在相关.
- 逆口腔尺寸与标准ETT外径 (OD) 进行了比较.
主要成果:
- 逆口腔区域的宽度始终超过ETT OD.
- 逆口腔区域高度与ETT OD可比,具有压缩的可能性.
- 口腔粘膜的可压缩性允许ETT通过在背口腔空间.
- 对男性和女性患者的测量结果进行了分析.
结论:
- 脊背部区域提供了足够的空间,可以在面骨折患者中加强ETT.
- 在全身麻醉中可以使用逆口腔输管,而不会损害间结合.
- 这种技术支持面骨折手术,特别是那些专注于闭塞修复的手术.
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